Licensing Request

In order for us to process your request, please complete this form:

Your Production

Production Type
Production Title:
Proposed Air/Release Date:
Clearance Deadline:

Media Needed

Song Title Requested:
Artist:
Media Type Required:

Master Audio Music Video

Media Requested:

NB. Please be aware that all the above media will be licensed expressly excluding future technologies unless these are requested as part of the initial license. Future technologies cannot be granted as an option.

**Please note that the soundtrack rights are not included and if required will be negotiated separately.

Production Details

Production Company:
Director:
Producer:
Cast:
Film/Video Distributor:
Total Budget: $
Music Budget: $

CDN USD

Usage Details

Type of Usage:

Background / Incidental music Opening Credits Closing Credits Featured usage Out-of-context trailers Other (Please Specify)

Duration of the excerpt (timing):
Territories requested:
Term requested:
Publishers Approval:
Fee Offered: $

CDN USD

Contact Information

Name:
Company:
Address:
Phone:
Fax:
Cell:
E-Mail:

Synopsis

Overall Project/Plot Summary:
Please provide a detailed description of where the music is used in context:
Additional Comments:

Say It With Music